Organization Active NPI

Mobility Sports Chiro PLLC

  • Chiropractor
  • Renton, WA
National Provider Identifier
1316857980
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOBILITY SPORTS CHIRO PLLC
Practice address
1620 Duvall Ave NE Ste 201
Renton, WA 98059-3975
Phone
(206) 930-2535
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ilmo Ahn, DC
Title
Owner
Phone
(206) 900-1895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1620 Duvall Ave NE Ste 201
Renton, WA 98059-3975

Mailing address

1620 Duvall Ave NE Ste 201
Renton, WA 98059-3975

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1316857980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE 201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 DUVALL AVE NE STE 201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593975",
            "telephone_number": "206-930-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY SPORTS CHIRO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "ILMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-900-1895",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.